Victor Valley Primary Care, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

C52186 Issued in CA

Legal business name

VICTOR VALLEY PRIMARY CARE, INC.

Practice address

16125 Kamana Rd
Apple Valley, CA 92307-1377

Phone

(760) 946-2600

Fax

(760) 946-5600

NPI assigned

Feb 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alden I Jallorina, M.D.NPI 1982611521

Title

President

Phone

(760) 946-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alden I Jallorina, M.D.

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1982611521
  Medicare reassignment Authorized official
• Heidelene E De la Rosa, MD

  • Pediatrics Physician
  • Apple Valley, CA
  • NPI 1154378693
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1487823985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-2600",
            "fax_number": "760-946-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16125 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-2600",
            "fax_number": "760-946-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16167 Siskiyou Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071314",
            "country_code": "US",
            "telephone_number": "760-946-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTOR VALLEY PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "JALLORINA",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-946-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "C52186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Vennes, RN
• Vishal Verma, PA-C
• Eduardita Eolani Vicencio, M.D.
• Victor C Moneke MD Inc
• Victor Valley Neurology, Inc
• Victory Med-Trans
• Vijay Arora, M.D., Inc.
• Carinthia Villa Fernandez
• Carissa Faye Villa, M.S., M.A.
• Elizabeth Guadalupe Villa, AA

• Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.